Provider Demographics
NPI:1093187692
Name:KUSZ, ERICA L (BCBA, LABA)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:L
Last Name:KUSZ
Suffix:
Gender:F
Credentials:BCBA, LABA
Other - Prefix:MS
Other - First Name:ERICA
Other - Middle Name:LEE
Other - Last Name:CORDIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, BCBA, LABA
Mailing Address - Street 1:2 LAN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3550
Mailing Address - Country:US
Mailing Address - Phone:888-896-5227
Mailing Address - Fax:978-616-7863
Practice Address - Street 1:2 LAN DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3550
Practice Address - Country:US
Practice Address - Phone:888-896-5227
Practice Address - Fax:978-616-7863
Is Sole Proprietor?:No
Enumeration Date:2015-10-22
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst